Tesis sobre el tema "Sick Health behavior"

Although Talcott Parsons’s sick role theory, as described in 1951 in The Social System, has been severely criticized for its inapplicability to chronic illnesses, a portion of the theory is still a relevant and necessary factor in terms of understanding and treating chronic illness today. Using data from the 2012 National Health Interview Survey, this study looks at the individual effects of sex, age, race, cohabitation, education and region of residence on the likelihood of chronically ill patients considering themselves limited in their amount or kind of work as an indicator of sick role adaptation. Results show statistically significant relationships between work limitation and sex, age, cohabitation, education and region of residence, when controlling for the duration of the respondents’ condition. Further evaluation of these results is provided.

It has been well established, in the literature, the association between low health literacy rates and poor health outcomes. With the increase of technology dependence, more people are using the internet to look up health information. Research has shown that shared decision making between providers and patients can improve patients' health outcomes. This research aims to examine whether electronic health (eHealth) literacy impacts patient-provider relationships. This research will also examine how geography specifically state residency impacts eHealth literacy rates. Data collected from a national sampling of online health and medical information users who participated in the Study of Health and Medical Information in Cyberspace (N=710) is used to construct structural equation models from SPSS AMOS v. 20.0. After path analysis, the results shown that white males with higher education were more likely to have higher eHealth literacy rates and that eHealth literacy rates are associated with better self-care, higher patient satisfaction and increased trust in provider. Also, state residency does not have an impact on eHealth literacy rates. eHealth literacy will be significant in patient-provider relationships. Program development should be established on focusing on eHealth literacy across the lifespan. Also, it will be important to review federal policy on technology disbursements in order to achieve national goals on eHealth literacy rates.

The overall aim of this study was to illustrate the organizations importance to female staff within education, health and social care on return to work after long term sick leave due to mental illness. The aim of this study was also to identify improvement opportunities. A qualitative study was made with seven interviewees that had return to work after long term sick leave for mental illness. The material was analyzed with an inducitve thematic method. The main themes that emerged was: Information and consulting, Social support from managers and colleagues, Changed attitude and participation in the rehabilitation process and Improvement opportunities. The main result showed that the social support from managers and colleagues and the changed attitude towards the illness mattered the most to the interviewees for a successful return to work. The result also showed that the interviewees had a great need of information about the sick leave process. According to the interviewees the understanding and knowledge about mental illness has to increase.

In the three chapters of my dissertation, I analyze the individual behaviors including health (vaccination and preventive care) and consumer (financial literacy) behaviors and the corresponding interventions by nonlinear econometric modeling. In the first chapter, I suggest an appropriate econometric model that investigates the effect of paid sick leave on workers' decision to receive the seasonal flu vaccination. For this investigation, I apply a Bayesian non-linear structural regression model with one-outcome and two-endogenous equations. The results of my estimation indicate that having paid sick leave affects workers' vaccination decisions differently based on their income levels. Low-income workers are willing to be vaccinated because they perceive the high cost of claiming paid sick leave. However, high-income workers are willing to be vaccinated because paid sick leave reduces the cost of vaccination for seasonal flu. In the second chapter, I suggest new econometric regression models that investigate the effect of "Don't Know" or "Refuse" (DK/RF) responses on parameter identification. I estimate the effect of group characteristics and financial education on the level of young respondents' objective financial knowledge and find the actual effects and biases by my suggested models. This study examines six questions about personal finance and selects covariates in the 2015 National Financial Capability Study (NFCS). Because these questions include DK/RF responses, a simple regression model that does not consider DK/RF responses could lead to misleading conclusions, such as gender/income difference and educational effectiveness in schools. In the last chapter, I investigate the effect of three health-related interventions including a doctor's recommendation, information about human papillomavirus (HPV), and HPV vaccination, on the misuse of cervical cancer screening including too-early screening, unnecessary HPV test, annual Pap test, and no Pap smear that are not recommended for women younger than 30 years. I examine the National Health Interview Survey conducted in 2015 and applies binary and multinomial logistic regression models. From the estimation result, I observe that doctor's recommendation plays a significant role in increasing the probability of receiving cervical cancer screening while it induces the too-early screening, unnecessary HPV testing, and overuse of Pap smears.
Ph. D.

Given the current United States prison population of 1.5 million persons, many states have begun to examine how to effectively reduce correctional expenditures, considering in 2011 healthcare related prison costs increased to approximately eight billion (The Pew Charitable Trusts, 2014). Recent research attributes much of this increase to the prevalence of disease and aging within the prison population (Williams et al., 2012; Dumont et al., 2012; Gallagher, 2001; Ahalt et al., 2013). Alternatively, little attention has been devoted to measuring the disparity in health among minority male inmates or the effects of identifying more cost effective health initiatives that address negative health outcomes. With incarceration and health expenditures rates steadily increasing within the United States, studies have highlighted the positive correlation between incarceration and the costs of inmate health, as well as the implications associated with physical illness and its overarching effects on the performance of correctional health care. This study represents an attempt at bridging the gap between preventative health care and criminal justice efforts within the literature in its examination of the demographics, history of incarceration, chronic illness, and current medical conditions of minority male inmates within the state correctional facilities.

Thesis (M.S.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 25 pages. Includes Vita. Includes bibliographical references.

Thesis (Ph.D. in Nursing) -- University of Colorado, 2006.
Typescript. Includes bibliographical references (leaves 177-185). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;

Using matched pairs of schools having a diagnosis of Sick Building Syndrome (SBS) and those not identified, and not having the potential of being identified as having the diagnosis, this study examined the relationship between factors assumed or determined to have an impact on a school's ability to carry out its mission as they related to the SBS diagnosis. The factors studied were student average daily attendance (ADA); students' mean standardized test scores in math and reading on the Iowa Test of Basic Skills and the Tests of Achievement and Proficiency; the need for students to take prophylactic medications; the rate of staff turnover; the percentages of short term suspensions (less than 10 days), long term suspensions (more than 10 days), and the percentage of recommendations for expulsion; as well as the impact of the public identification of a school as having a diagnosis of SBS on student ADA, mean standardized test scores in math and reading and staff turnover. A factorial ANOVA model (2 by 4) for repeated measures revealed no statistical significance for main or interaction effects on any of the six hypotheses addressed.

Introduction: Due to the high prevalence of smoking in China, exposure to second hand smoke (SHS) is a serious public health issue. However, school-aged children’s behavioral responses to SHS exposure and the associated factors are unclear. Aims: This study aims to (a) identify the sources and settings of SHS exposure among school-aged sick children and their mothers in Guangzhou, China; (b) describe the behavioral responses of those children and mothers when exposed to SHS; and (c) examine the personal and environmental factors associated with children’s responses to SHS exposure. Methods: Qualitative and quantitative methods were combined in this study. Forty-five in-depth individual interviews were conducted to investigate sick school-aged children and their mothers’ understanding of and responses to SHS. A pilot survey was used to assess the validity and reliability of the questionnaire and the feasibility of the study. A cross-sectional survey was conducted with the children and their mothers at three hospitals in Guangzhou in 2012. All sick children who were aged 6 to 12 years, able to communicate in Mandarin Chinese, and not acutely or severely ill, along with their nonsmoking mothers, were invited to join this study. Results: A total of 339 pairs of sick children and their mothers were included in the data analysis. Of these pairs, 169 (49.9%) lived with smokers. All sick children and their mothers experienced high-level SHS and third hand smoke (THS) exposure inside or outside the home. Those living with nonsmokers were also at risk of household SHS and THS exposure from guests. Most of the sick school-aged children were unaware of the dangers of SHS and THS, while the mothers had a better understanding of SHS and THS. The majority of children would adopt self-protective behaviors when exposed to SHS. The regression model for children’s behavioral responses to SHS exposure by family smokers found two significant factors: amount of social support and family smoke-free policy. Five factors were associated with children’s behavioral responses to SHS exposure by guest smokers, including boys, living with smokers, amount of social support, family members informed of the dangers of smoking, and fathers protecting children from SHS. The amount of social support, and fathers protecting children from SHS were also associated with children’s behavioral responses to SHS exposure by stranger smokers. Conclusions: To our knowledge, this is the first study to describe self-protective behavioral responses to SHS exposure among sick school-aged children in mainland China and the personal and environmental factors associated with these responses. Boys, living with smokers, and a partial smoke-free policy at home were negatively related to children’s responses to SHS exposure; however, more information about smoking, fathers’ protection from SHS, and information about the harms of smoking by family members were associated with greater self-protection among sick school-aged children. Therefore, multiple-direction interventions should be considered for children’s health promotion about smoking and SHS.
published_or_final_version
Nursing Studies
Master
Master of Philosophy

This case study investigated the Endoscopy Center of Southern Nevada's crisis communication tactics employed in response to the Hepatitis C outbreak springing from the clinic in 2008. The research sought to evaluate the success of the clinic's crisis PR strategy, as it followed the advice of its lawyers and declined to take responsibility for the patients' exposure or offer an apology. The aim of this study is to illuminate public relations alternatives to apology in instances of corporate transgressions resulting in major harm, to salvage reputation and preserve company viability. Content analysis was used to extract public opinion from reader feedback comments on online news stories regarding the clinic. Benoit's (1995) Image Restoration theory and Coombs and Holladay's (2002) Situational Crisis Communication theory were used to develop the content analysis instrument and evaluate the clinic's crisis communication strategies. Agenda-setting theory was also explored between the news stories and the reader feedback. Analysis yielded overwhelmingly negative public response to the clinic's communications, and revealed some possible reasons for the negativity. A list of five crisis communications "best practices" was developed from these discoveries, highlighting five public relations principles to consider when the lawyers say apology is not an option: 1. Have a rapid initial response; 2. Maintain consistent message strategy, especially when employing Situational Crisis Communication tactis; 3. Compensate victims; 4. Give 'em a "pound of flesh," and 5. Get the situation squared away quickly. Evidence showed agenda-setting effects for the public influencing the "tone" of reporting (positive, neutral or negative), and both the news outlet and the public contributed to determining focal issues of the crisis. This finding underscores the importance of following "best practices" guidelines to devise effective communication strategies for shaping reputation in times of crisis.

Chronic pain is usually defined as pain of more than three months duration. The prevalence of chronic pain among the general population in Sweden is 18%. Compared with the general population, these patients report lower life satisfaction, decreased activity in daily life and higher levels of depression with decreased work ability, and increased sick leave. Research indicates that multimodal rehabilitation (MMR) programmes, including cognitive behavioural approaches for patients disabled by chronic pain, are effective for return to work. The primary aim of this thesis was to assess outcomes by a long-term follow-up of patients with chronic musculoskeletal pain. Furthermore, the aim was to evaluate two different rehabilitation strategies regarding impact on pain intensity, activity, depression, life satisfactions, and sick leave. Two groups, comprising 255 (between the years 1999-2002) and 296 (between 2007-2008) patients respectively, from the Pain Rehabilitation Clinic at Umeå University Hospital, Sweden, were all assessed by interdisciplinary teams. They completed questionnaires regarding pain intensity, disability, life satisfaction, anxiety and depression, and sick leave, before intervention, immediately after intervention (only the first group; n=255), and at one-year follow-up, after participating in a MMR programme in a specialist clinic, or after receiving a rehabilitation plan (RP) with follow-up in primary care. Allocation to either of the two groups was based on the initial interdisciplinary team assessment. Furthermore, a five-year follow-up of 158 patients with whiplash injury was conducted. Pain intensity decreased and life satisfaction increased significantly regarding somatic health in both groups, at follow-up. In addition, depression improved and disability decreased to a higher extent after participating in the MMR programme as compared to RP and subsequent follow-up in primary care. Patients’ positive beliefs about recovery, and positive expectations about work correlated with favourable rehabilitation outcomes. Sick leave at one year follow-up decreased in both groups. Regarding whiplash injury, patients who reported moderate or severe disability also reported significantly higher pain intensity, depression and post-traumatic stress scores and lower perception of general health compared with patients who reported mild or no disability. In conclusion, MMR programmes seem to be beneficial by decreasing pain intensity, depression, disability and sick leave among patients with chronic musculoskeletal pain. Furthermore, patients’ positive beliefs correlate with more favourable long-term outcomes. An interdisciplinary team assessment based on a biopsychosocial approach may be of value for selection of rehabilitation strategy.

Thesis (MPhil)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Educators across the health professions are now concerned with the teaching and assessment of professional skills. Caring behaviour is one of the attributes of professionalism in the health sciences professions and in the nursing profession it is regarded as the essence of the profession. The aim of this study is to explore the understandings and experiences of caring behaviours of first- and fourth year nursing students and how they would like to be assessed about their caring behaviours in a curriculum where it is not overtly taught. This will be investigated according to Watson’s carative factors and theoretical framework of caring, while Bloom’s Taxonomy of the affective learning domain will also be consulted. The design of the study is qualitative and explorative. A purposive sample was drawn from first-year nursing students (n=64), and fourth-year nursing students (n=41) at one nursing education institution. The sample of students (n=105) from seven (7) private training hospitals in the Western Cape participated in nine (9) focus group interviews (n=10-15). Data analysis was done by means of a framework analysis approach with a deductive strategy. Research findings from this study are extensively discussed and will be used to inform the undergraduate nursing curricula in South Africa about the profiles of caring nursing students and to make recommendations about the internalisation of caring behaviours, according to the affective learning domain.
AFRIKAANSE OPSOMMING: Opvoeders vanuit die verskeie gesondheidsberoepe, is tans met die leer en assessering van professionele vaardighede gemoeid. Sorgsame gedrag is een kenmerk van professionalisme in die gesondheidsberoepe. In verpleegkunde word sorgsame gedrag as die kern van die beroep beskou. Die doel van hierdie studie is om die begrip en ervarings van eerste- en vierde-jaar verpleegkunde studente rondom sorgsame gedrag te ondersoek. ʼn Verdere doel is om te bepaal hoe hierdie studente graag geassesseer wil word oor hul sorgsame gedrag in ʼn kurrikulum waar hierdie kenmerk nie pertinent geleer word nie. Watson se sorgsaamheidsfaktore en teoretiese raamwerk oor sorgsaamheid, sal gebruik word om die onderwerp na te vors. Bloom se Taksonomie van die affektiewe leergebied sal gesamentlik met Watson gebruik word as teoretiese grondslag vir die navorsing. Die studie-ontwerp is kwalitatief en verkennend. ʼn Doelbewuste seleksie is gedoen om spesifieke eerstejaar verpleegkunde studente (n=64) en vierdejaar verpleegkunde studente (n=41) by die navorsing te betrek. Die geselekteerde studente (n=105) van sewe (7) private opleidingshospitale in die Wes-Kaap, het aan nege (9) fokusgroep onderhoude deelgeneem (n=10-15). Die data-analise is deur middel van ʼn raamwerk-analise benader en ʼn deduktiewe strategie is gebruik. Die resultate van hierdie navorsing word omvattend bespreek en sal gebruik word ten doel voorgraadse verpleegkunde kurrikula in Suid-Afrika te informeer rakende die sorgsaamheidsprofiel van verpleegkunde studente. Aanbevelings, volgens die affektiewe leergebied, word ook gemaak oor hoe sorgsame gedrag geïnternaliseer kan word.

Background: Research on multimorbidity, the co-occurrence of two or more health-related conditions, has mainly focused on chronic and common diseases in patient and older populations. The prevalence of multimorbidity in workers and its effect on occupationally relevant outcomes is poorly known. Methods: We computed baseline multimorbidity scores using severity-weighted chronic conditions based on: 1) the relationship between chronic conditions, health-related behaviors and symptoms, and 2) their individual influence on poor health status. Next, we assessed the longitudinal effect of multimorbidity on the incidence and duration of overall and diagnosis-specific sickness absence, as well as on work functioning after return to work from a sickness absence episode. Results: Among men, higher baseline multimorbidity was a risk factor for overall incident sickness absence and episodes due to musculoskeletal and cardiovascular diseases. In women, the trend was less evident, although mental disorders had the strongest association. Associations with sickness absence duration were less consistent. Higher multimorbidity negatively impacted work functioning over time. Conclusion: Multimorbidity affects occupational outcomes, such as sickness absence, and its measurement may allow the early detection of workers coping with unbalanced health-related limitations and work demands.
Antecedents: La recerca sobre multimorbiditat, la coexistència de dues o meés condicions relacionades amb la salut, s’ha enfocat principalment a poblacions de pacients i de major edat. La prevalença de multimorbilitat entre treballadors, i el seu efectes sobre indicadors rellevants per a la salut ocupacional, no està gaire estudiada. Mètodes: Partint de dades de dues poblacions treballadores, vam calcular puntuacions de multimorbilitat ponderades per la seva severitat considerant: 1) la interrelació entre condicions cròniques, hàbits relacionats amb la salut i símptomes, 2) l’efecte de cada condició crònica sobre el mal estat de salut general. Seguidament, vam avaluar l’efecte longitudinal de la multimobilitat basal en la incidència i durada del total d’episodis d’incapacitat temporal, d’episodis per diagnòstics específics, així com en la capacitat d’assolir les demandes laborals un cop retornat d’una incapacitat temporal. Resultats: Pels homes, la multimorbiditat alta va ser un factor de risc tant pel total d’episodis d’incapacitat temporal com per aquells deguts a trastorns musculoesquelètics i malalties cardiovasculars. Per a les dones aquesta tendència va ser menys clara, malgrat que els episodis deguts a trastorns mentals van mostrar l’associació més evident. L’associació amb la durada dels episodis va ser menys consistent. La multimorbilitat alta es va associar negativament a la capacitat per assolir les demandes laborals, al llarg del temps, i un cop tornat al treball desprès d’una incapacitat temporal. Conclusió: La multimorbiditat té efectes sobre indicadors de salut laboral. Mesurar-la permetria la detecció precoç de treballadors que s’enfronten a un desequilibri entre les limitacions relacionades amb la salut i les demandes laborals, i que estan a risc d’un episodi d’incapacitat temporal.

Occupational Health Service (OHS) has an important role in society. It is designed to prevent illness and strengthen the health of workers. OHS operations and development are currently being studied at the School of Technology and Health at the Royal Institute of Technology in Sweden. One of the industries studied is the home maker service. During the 2010s were such employees one of the most ill groups in Sweden. This master's thesis in occupational environment development and change management focus on examining the special knowledge an OHS and its clients in one home maker service need to strengthen the workers of the industry and find out how the interaction between OHS and home maker service works and how it could be evolved. A qualitative study was conducted in a Swedish city on the basis of an organizational perspective. Six persons between 30 and 65 years of age were interviewed. The interviewed people’s occupations were ergonomist, safety engineer, home health aides and managers from both companies. To gain a deeper understanding of the phenomenon the interviews were transcribed. Key themes for the interviewees were collaboration, economy and engagement, important health and safety issues, prevention, the home help service needs of OHS and what support OHS need in their work with the home maker services. The studied parties agreed that they had no developed cooperation and that there was a gap between them. All interviewees consisted on the work environment problems in the industry. These were stress, time pressure, heavy physical work, patients’ homes were not always suited for the home health aides, lack of colleagues, intimidation and violence and smoking patients. There was found a barrier between the preventive work that could be undertaken and what was ordered from the home maker service.
Företagshälsovården (FHV) har en betydelsefull roll i samhället. Den finns till för att förebygga ohälsa och stärka hälsan hos arbetstagare. Företagshälsovårdens verksamhet och utveckling studeras just nu på skolan för teknik och hälsa på Kungliga Tekniska Högskolan. En av de branscher som åskådliggörs är hemtjänsten. Under 00-talet var arbetstagarna i hemtjänsten en av de mest sjukskrivna grupperna i Sverige. Det här magister-examensarbetet inom arbetsmiljöutveckling och förändringsledning fokuserar på att undersöka vilken specialkunskap FHV behöver för att stärka hemtjänstbranschens arbetstagare samt ta reda på hur samverkan mellan FHV och hemtjänsten fungerar och hur den kan utvecklas. En kvalitativ intervjustudie utfördes i en svensk storstad med utgångspunkt i ett organisationsperspektiv. Sex personer mellan 30 och 65 år intervjuades. Intervjuobjektens yrken var ergonom, arbetsmiljöingenjör, undersköterska i hemtjänsten och chefer från båda parter. För att få en djupare förståelse för fenomenet transkriberades intervjuerna. Betydelsefulla gemensamma teman för intervjupersonerna var samverkan, ekonomi och engagemang, viktiga arbetsmiljöfrågor, förebyggande arbete i dag, hemtjänstens tjänstebehov av FHV och vilket stöd FHV behöver i sitt arbete med hemtjänsten.   De studerade parterna var överens om att de inte hade något utvecklat samarbete och att det bestod ett glapp mellan dem. Alla intervjupersoner var eniga om arbetsmiljöproblemen i branschen. Dessa var stress, tidspress, tungt fysisk arbete, att brukarnas hem inte alltid var anpassade för hemtjänstpersonalen, avsaknad av kollegor, hot och våld samt rökande brukare. Det fanns idag en barriär mellan det förebyggande arbete som skulle kunna bedrivas och vad som beställdes av hemtjänsten.
"Nyttiggörande av branschkunskap – implementering av nätverk” med projektledare Annika Vänje

Thesis (Ph.D.)--York University, 2004. Graduate Programme in Psychology.
Typescript. Includes bibliographical references (leaves 197-213). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNQ99250

Yes
This article presents the homotopy perturbation method (HPM) employed to investigate the effects of inclination on the thermal behavior of a porous fin heat sink. The study aims to review the thermal characterization of heat sink with the inclined porous fin of rectangular geometry. The study establishes that heat sink of an inclined porous fin shows a higher thermal performance compared to a heat sink of equal dimension with a vertical porous fin. In addition, the study also shows that the performance of inclined or tilted fin increases with decrease in length–thickness aspect ratio. The study further reveals that increase in the internal heat generation variable decreases the fin temperature gradient, which invariably decreases the heat transfer of the fin. The obtained results using HPM highlights the accuracy of the present method for the analysis of nonlinear heat transfer problems, as it agrees well with the established results of Runge–Kutta.
Supported in part by the Tertiary Education Trust Fund of Federal Government of Nigeria, and the European Union’s Horizon 2020 research and innovation programme under grant agreement H2020-MSCA-ITN-2016SECRET-722424.

Die Forschungsarbeit „Ich sehe nur, wie sich die Menschen plagen“: Gesundheitsvorstellungen, -risiken und -verhalten von Berufspolitikern – Eine empirische Analyse befasst sich aus medizinsoziologischer Perspektive mit potentiellen Gesundheitsvorstellungen, -risiken sowie gesundheitsförderlichen bzw. -riskanten Verhaltensweisen deutscher Berufspolitiker. Der Einfluss gesundheitsrelevanter persönlicher Erfahrungen auf gesundheitspolitische Entscheidungen auf Bundesebene stellt einen ergänzenden Fokus dar. Grundlage der Forschungsarbeit ist die subjektiv zunehmende krankheits- und krisenbedingte (medial vermittelte) Belastung der Mandatsträger in der Öffentlichkeit. Die Arbeit stützt sich u.a. auf die Modelle der Salutogenese nach Antonovsky, der Gratifikationskrise nach Siegrist, auf das Anforderungs-Kontroll-Modell nach Karasek sowie die kognitiv-transaktionale Stresstheorie nach Lazarus. Weitere Basis ist das biopsychosoziale Krankheitsmodell. Das empirische Vorgehen der qualitativ angelegten Studie wurde an die Grounded Theory angelehnt. Eine teilnehmende Beobachtung, die Durchführung und Auswertung von 21 Interviews samt sich anschließender Typenbildung wurde angestrebt und vollzogen. Das Interviewsample setzte sich aus Berufspolitikern aller in der 17. Wahlperiode des deutschen Bundestages vertretenen Parteien (CDU/CSU, SPD, FDP, Bündnis 90/die Grünen, Die Linke) zusammen. In der Ergebnisdarstellung werden besonderer Wert auf die individuellen Gesundheitsvorstellungen der einzelnen Politiker gelegt, zudem gesundheitsförderliche Verhaltensweisen eruiert. So scheint Gesundheit durch persönliche Prioritätensetzung und zurückliegende Erfahrungen geprägt. Es können hierzu 14 Themenbereiche und drei zentrale Phänomene ermittelt werden. Krankheitsbilder und Krisenerfahrungen des Interviewsamples werden samt ihrer Einbettung in den sozialen Kontext dargestellt. So werden offensichtliche und allgemeingehaltene Krankheitsbilder durch die Mandatsträger oft am eigenen Beispiel geschildert, lebensbedrohliche im Gegenzug fast ausnahmslos an Kollegen illustriert. Deutlich werden krisen- und krankheitsbedingte Auswirkungen auf politische Akzente. Es können sechs klar voneinander abgrenzbare Typen der Berufspolitiker bezüglich ihres Gesundheitsverhaltens im beruflichen Alltag eruiert werden (Extrempole: Das Opfer vs. Der Abgesicherte). Weiterhin werden besondere Risikofaktoren des arbeitsreichen Mandats illustriert, im Gegenzug Optimierungsmöglichkeiten aufgezeigt. Es zeigt sich ein berufsbedingtes Ungleichgewicht zwischen Risiko- und Schutzfaktoren zulasten der Ressourcen. Hier sind Ansätze zur (Verhaltens-/Verhältnis)Prävention und Gesundheitsförderung zu finden. Der Link zwischen Gesundheitspolitik im Allgemeinen sowie Gesundheitsverhalten im Speziellen wird geschaffen. Abschließend erfolgt eine Kategorisierung der zentralen Themen der Studie. Hierbei werden der Grounded Theory und dem offenen, axialen und selektiven Kodieren folgend Kategorien, Subkategorien sowie eine Kernkategorie ermittelt. Es zeigt sich eine Schwerpunktverlagerung bezüglich In- und Output der Leitfadenthemen (Stigmatisierbarkeit, Tabuisierung). Abschließend werden weiterführende Forschungsperspektiven aufgezeigt.

Abstracts in English, Afrikaans and Sepedi
Small businesses flourish when employees are happy, healthy and productive. This makes employees an important asset of a small business because its success depends on the performance of its employees. Employee wellness practices in small medium and micro enterprises (SMMEs) often focus on the physical aspects of wellbeing, despite employees wanting management to focus on their emotional needs. In view of the fact that employers do not realise that employee wellness significantly improves morale and increases retention rates, this research sought to explore the employee wellness experiences of managers and employees in SMMEs to develop an understanding of the need for employee wellness practices in these organisations. Accordingly, a qualitative study was conducted among 17 employees and four managers at three diverse industries operating in the Gauteng region of South Africa. The data were collected by means of focus groups interviews with employees and individual interviews with managers who work in SMMEs that employ less than 50 employees. The results indicated that employees consider employee wellness in terms of how well organisations treat them and take care of them. The findings demonstrated that employees depend on good working relationships to be happy and engaged in the workplace. Although management cited various financial and human resource constraints that limit employee wellness practices, the employees identified various activities and practices that were not dependent on financial resources for implementation. The results also showed there was insufficient evidence to support the notion that there is a link between unhealthy workplace conditions and higher absenteeism and staff turnover rates. The findings highlighted that employees need social interaction in order to feel valued and cared for and that this factor often outweighs the negative feelings employees have of working in unhealthy environments. Thus, employees were willing to work in unhealthy conditions as long as they felt valued by top management. The findings of the study contribute to the knowledge in the literature on employee wellness practices in SMMEs because limited studies have been conducted to demonstrate the impact of workplace conditions on employee wellness.
Klein ondernemings floreer wanneer werknemers gelukkig, gesond en produktief is. Dit maak werknemers ’n belangrike bate vir ’n klein onderneming, want die onderneming se sukses hang af van die werknemers se prestasie. Werknemerwelstandpraktyke in klein-, medium- en mikro-ondernemings (KMMO’s) fokus dikwels op die fisieke aspekte van welstand, ten spyte daarvan dat werknemers wil hê bestuur moet op hul emosionele behoeftes fokus. In die lig daarvan dat werkgewers nie besef dat werknemerwelstand moraal en behoudsyfers aansienlik verbeter nie, het hierdie navorsing gepoog om die werknemerwelstand-ondervindinge van bestuurders en werknemers in KMMO’s te ondersoek om ‘n begrip van die behoefte aan werknemerwelstand-praktyke in hierdie ondernemings te ontwikkel. Ooreenkomstig hiermee is ‘n kwalitatiewe studie onderneem onder 17 werknemers en vier bestuurders by drie diverse industrieë wat in die Gauteng-omgewing in Suid-Afrika sake doen. Die data is versamel deur middel van fokusgroeponderhoude met werknemers en individuele onderhoude met bestuurders wat by KMMO’s met minder as 50 werknemers werk. Die bevindinge toon dat werknemers werknemerwelstand beoordeel volgens hoe goed organisasies hulle behandel en na hulle omsien. Die bevindinge het uitgewys dat werknemers staatmaak op goeie werksverhoudings om gelukkig en betrokke te wees in die werkplek. Hoewel bestuur verskeie finansiële en menslike hulpbron-beperkings uitgewys het wat werknemerwelstandpraktyke beperk, het die werknemers verskeie aktiwiteite en praktyke geïdentifiseer wat onafhanklik van finansiële hulpbronne geïmplementeer kan word. Die studie het ook bevind dat daar nie genoegsame bewyse is om die idee te staaf dat daar ‘n verband is tussen ongesonde werkplekomstandighede en ‘n hoër afwesigheidsyfer en personeelomset nie. Die bevindinge lig dit uit dat werknemers sosiale interaksie nodig het om gewaardeerd en na omgesien te voel en dat hierdie faktor dikwels swaarder weeg as die negatiewe gevoelens wat werknemers in ‘n ongesonde werkomgewing ervaar. Werknemers is dus bereid om in ongesonde omstandighede te werk solank hulle gewaardeerd voel deur topbestuur. Die bevindinge van die studie dra by tot die kennis in die literatuur oor werknemerwelstandpraktyke in KMMO’s aangesien studies wat die impak van werkplekomstandighede op werknemerwelstand demonstreer tot dusver beperk is.
Dikgwebo tse nyane di tswella ka bokgabane ha basebetsi ba thabile, ba phetse hantle ebile ba sebelletsa ho beha ditholoana. Sena se etsa hore basebetsi e be bona ba bohlokwa haholo dikgwebong tse nyane hobane katleho ya dikgwebo tsena e dutse mahetleng a bokgabane ba basebetsi. Bophelo bo hantle ba basebetsi dikgwebong tse nyane le tse kgolwanyane (SMMEs) hangata bo tobane le bokgoni ba basebetsi ho tswellisa pele mosebetsi o behang ditholoana, empa basebetsi le bona ba batla hore ba nahanelwe ke bo ramesebetsi ka ditlhoko tsa bona tse ba amang moyeng. Bo nnete ba taba ke hore bo ramosebetsi ha ba elellwe hore bophelo bo hantle ba basebetsi bo bohlokwa hobane bo nyolla boitshwaro bo botle ba basebetsi, ebile ba dula dilemo mesebetsing ya bona. Dipatlisiso tsa pampiri ena di tlo sheba bophelo bo botle ba basebetsi ka ho lekola batshwari ba basebetsi le basebetsi mmoho dikgwebong tse nyane (SMMEs) hore bo ka tsela e jwang le ho re thusa ho utlwisisa bohlokwa ba bophelo bo hantle mesebetsing ka ho fapana. Ho fumana dintlha tsa dipatlisiso, ho kopuwe basebetsi ba leshome le metso e supileng (17) le batshwari ba basebetsi ba bane (4) mesebetsing e fapaneng Gauteng, Afrika Borwa. Ho bile le di hlopha tse fapaneng tse botsuweng dipotso hore ho tholahale dintlha ka taba ya bophelo bo hantle ba basebetsi, mme batshwari ba basebetsi ba botsuwe dipotso ka bonngwe ba bona. Dikgwebo tse nyane (SMMEs) tse nkileng phato di na le basebetsi ba ka tlase ho mashome a mahlano (50). Sephetho sa ditlatlobo tsa dipotso tse botsuweng basebetsi se bontsha hore basebetsi ba nahana hore boitshwaro bo hantle ba basebetsi bo ya ka hore mesebetsing e fapananeng batho ba hlokometswe jwang. Basebetsi ba boletse hore dikamano pakeng tsa basebetsi mmoho tse thabisang di ba loketse mesebetsing. Le ha batshwari ba Page viii basebetsi le bo radikgwebo ba lla ka hore disebediswa le ditjhelete ha di lekane hore ba tswellise pele boitshwaro bo botle ba basebetsi, basebetsi ba buile ka dintlha tse bontshang hore boitshwaro bo botle ha bo hloke tjhelete ka dinako tsohle. Sephetho se ile sa bontsha hore ha hona bopaki bo lekaneng ho bontsha hore basebetsi ba lofa mesebetsing kapa hona ho se dule dilemo mesebetsing ka lebaka la hore poleke ya bona ya mosebetsi ha e kgahlise. Dipatlisiso di bontshitse hore basebetsi ba hloka dikamano le basebetsi ba bang, ha mmoho le bo ramesebetsi hore ba ikutlwe ba kgathallwa. Dikamano tsena di etsa hore basebetsi ba phuthollohe ha ba le mesebetsing ebile ba lebale ka dintho tse sa lokang mesebetsing ya bona. Ka hoo, basebetsi ba tsotella dikamano tse ntle pakeng tsa bona le bo ramesebetsi, le ha poleke ya mosebetsi e sa thabise ha kalo. Dipatlisiso tsa pampiri ena di tlatselletsa tsebo e teng ho dithuto tsa bophelo bo hantle ba basebetsi le di tsamaiso tsa tsona dikgwebong tse nyane (SMMEs) hobane ha dingata dipampiri tse ngotsweng ka sehlooho sena ho re ruta hore boitshwaro bo botle ho basebetsi bo ama mesebetsi e fapaneng ka tsela tse jwang.
Human Resource Management
M. Com. (Human Resource Management)

Socio-cultural factors oppress and construct women as men’s objects of desire and pleasure, thus increasing women’s vulnerability to HIV infection and, subsequently, maintaining the HIV and AIDS epidemic and prevalence in South Africa’s rural areas. South Africa’s rural women and their sexuality has not received adequate attention to date. This qualitative study sought to explore rural women’s perceptions on their sexuality and HIV prevention within the socio-cultural context of Schoemansdal (South Africa). A sample of ten participants, who are women from the Swazi ethnic group between the ages of twenty and fifty, were purposefully drawn to participate in this study. Data were collected by means of tape–recorded, face-to-face interviews and focus group discussions. Results of the study reveal that women’s social and cultural contexts have an influence on their perceptions of sexuality and HIV prevention, and that this poses a hindrance to women’s HIV-prevention behaviours such as condom use. The study’s findings reveal that in examining HIV infection and prevention, women’s diverse contexts and experiences cannot continue to be overlooked. This is because they may provide relevant understanding of the epidemic that is plaguing South Africa’s rural women.
An explorative study of rural women's perceptions of sexuality and HIV prevention in their local socio-cultural context : a case study of rural Schoemansdal, Mpumalanga
Social Work
M.A. (Social Behaviour Studies in HIV/AIDS)

A qualitative research design and an ethno-nursing research method were used to identify cultural factors influencing Xhosa women's health seeking behaviours associated with breast lumps. Focus group interviews were conducted to obtain data. The research results revealed that these Xhosa women with breast lumps did not disclose some cultural factors which influenced their health seeking behaviours associated breast lumps. Registered nurses, sharing the same culture and language as the Xhosa women, revealed that Xhosa women with breast lumps sought treatment from traditional healers, prior to seeking medical care from the hospital and/or clinics. When they arrive at the hospital/clinics the breast lumps have often progressed to advanced ulcerated breast cancer, with poor prognoses and poor treatment outcomes. Xhosa women lacked knowledge about the management of breast lumps. Health promotion efforts should address this issue at Primary Health Care services in the Eastern Cape.
Health Studies
M.A. (Health Studies)